Imaging prices at MercyOne Centerville Medical Center
Centerville, IA · every code in this section with a posted price and a Medicare benchmark.
157 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $251 | $251 | 3.0× |
| Abdomen 2 views (74019) | $386 | $386 | 3.8× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$365–$548 | $365–$548 | varies |
| Bone age studies (77072) | $263 | $263 | 2.6× |
| Bone Imaging 3 Phase (78315) | $2,233 | $2,233 | 5.8× |
| Bone Imaging Whole Body (78306) | $2,700 | $2,700 | 7.0× |
| Bone survey infant (77076) | $320 | $320 | 3.2× |
| Cat Scan Follow-Up Study (76380) | $852 | $852 | 10.2× |
| Chest 1 view (71045) | $258 | $258 | 3.1× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$30–$318 | $30–$318 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$278–$417 | $278–$417 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $2,157 | $2,157 | 21.5× |
| CT abdomen and pelvis without and with contrast (74178) | $6,331 | $6,331 | 18.9× |
| CT abdomen and pelvis without contrast (74176) | $4,696 | $4,696 | 20.5× |
| CT abdomen w contrast (74160) | $2,448 | $2,448 | 14.5× |
| CT abdomen w wo contrast (74170) | $3,002 | $3,002 | 17.8× |
| CT abdomen w/o contrast (74150) | $1,986 | $1,986 | 19.8× |
| CT Angio Abdomen and Pelvis (74174) | $6,472 | $6,472 | 19.3× |
| CT Angio Chest (71275) | $1,513 | $1,513 | 9.0× |
| CT Angio Head (70496) | $3,890 | $3,890 | 23.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$2,376–$3,564 | $2,376–$3,564 | varies |
| CT Angio Neck (70498) | $3,936 | $3,936 | 23.3× |
| CT cervical spine w/o contrast (72125) | $2,317 | $2,317 | 23.1× |
| CT chest w contrast (71260) | $2,788 | $2,788 | 16.5× |
| CT head/brain without and with contrast (70470) | $2,688 | $2,688 | 15.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $100 | $100 | 1.2× |
| CT iac w contrast (70481) | $2,346 | $2,346 | 13.9× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$2,175–$3,263 | $2,175–$3,263 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$2,327–$3,491 | $2,327–$3,491 | varies |
| CT lumbar spine w contrast (72132) | $2,807 | $2,807 | 8.4× |
| CT lumbar spine w/o contrast (72131) | $2,334 | $2,334 | 23.2× |
| CT maxillofacial w contrast (70487) | $3,234 | $3,234 | 19.2× |
| CT maxillofacial wo contrast (70486) | $1,962 | $1,962 | 19.5× |
| CT orbits w/o contrast (70480) | $2,244 | $2,244 | 22.3× |
| CT pelvis w/o contrast (72192) | $1,986 | $1,986 | 19.8× |
| CT soft tissue neck w contrast (70491) | $2,467 | $2,467 | 14.6× |
| CT soft tissue neck w/o contrast (70490) | $1,965 | $1,965 | 19.6× |
| CT thoracic spine w/o contrast (72128) | $2,047 | $2,047 | 20.4× |
| CT thorax w/o contrast (71250) | $2,218 | $2,218 | 22.1× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,745–$2,618 | $1,745–$2,618 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$2,219–$3,329 | $2,219–$3,329 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,643 | $3,643 | 21.6× |
| Cta Abdomen (74175) | $4,046 | $4,046 | 24.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,069 | $1,069 | 3.2× |
| Dxa Bone Density Axial (77080) | $698 | $698 | 6.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $265 | $265 | 3.2× |
| Esophagram (74220) | $520 | $520 | 3.1× |
| Fluoroscopy up to 1 hr (76000) | $693 | $693 | 3.0× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$277–$416 | $277–$416 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$358–$537 | $358–$537 | varies |
| Gastric emptying imaging study (78264) | $1,905 | $1,905 | 5.0× |
| Gated Heart Planar Single (78472) | $1,892 | $1,892 | 4.9× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$242–$363 | $242–$363 | varies |
| Hepatobil Syst Image W/Drug (78227) | $2,216 | $2,216 | 4.2× |
| K Flow/Funct Image W/Drug (78708) | $2,045 | $2,045 | 3.9× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$327–$491 | $327–$491 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $2,960 | $2,960 | 5.7× |
| Mra Head W/O & W/Contrast Material (70546) | $5,458 | $5,458 | 16.3× |
| MRA head w/o contrast (70544) | $3,847 | $3,847 | 16.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $5,458 | $5,458 | 16.3× |
| MRI abdomen w/o contrast (74181) | $4,399 | $4,399 | 19.2× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$5,262–$7,893 | $5,262–$7,893 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$5,065–$7,598 | $5,065–$7,598 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$5,380–$8,070 | $5,380–$8,070 | varies |
| MRI cervical spine w contrast (72142) | $3,833 | $3,833 | 11.4× |
| MRI cervical spine w/o cont (72141) | $3,919 | $3,919 | 17.1× |
| MRI chest wo w contrast (71552) | $3,989 | $3,989 | 11.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$5,967–$8,951 | $5,967–$8,951 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$4,192–$6,288 | $4,192–$6,288 | varies |
| Mri Neck Spine W/O & W/Dye (72156) | $5,792 | $5,792 | 17.3× |
| MRI orbit face &/neck w/o contrast (70540) | $4,051 | $4,051 | 17.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $5,714 | $5,714 | 17.0× |
| MRI pelvis w/o & w contrast (72197) | $5,898 | $5,898 | 17.6× |
| MRI pelvis w/o contrast (72195) | $3,175 | $3,175 | 13.8× |
| MRI thoracic spine w/o contrast (72146) | $3,926 | $3,926 | 17.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$3,509–$5,264 | $3,509–$5,264 | varies |
| MRI, abdomen, combo (74183) | $5,351 | $5,351 | 16.0× |
| MRI, dorsal spine combo (72157) | $7,130 | $7,130 | 21.3× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$3,957–$5,936 | $3,957–$5,936 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$6,317–$9,476 | $6,317–$9,476 | varies |
| MRI, lumbar spine combo (72158) | $5,851 | $5,851 | 17.4× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$70–$4,482 | $70–$4,482 | varies |
| Neck soft tissue (70360) | $291 | $291 | 3.5× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,594 | $2,594 | 6.7× |
| Pelvis 1 or 2 views (72170) | $349 | $349 | 3.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$418–$627 | $418–$627 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$282–$423 | $282–$423 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$336–$504 | $336–$504 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $618 | $618 | 6.1× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$290–$435 | $290–$435 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$23–$522 | $23–$522 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$313–$470 | $313–$470 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $321 | $321 | 3.8× |
| Radex Ribs Unilateral 2 Views (71100) | $335 | $335 | 4.0× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$396–$594 | $396–$594 | varies |
| Radex Sternum Minimum 2 Views (71120) | $294 | $294 | 3.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $532 | $532 | 6.4× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$277–$416 | $277–$416 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$424–$636 | $424–$636 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $360 | $360 | 3.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $781 | $781 | 7.8× |
| Radiologic exam colon double contrast study (74280) | $998 | $998 | 5.9× |
| Radiologic exam colon single contrast study (74270) | $709 | $709 | 4.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $667 | $667 | 4.0× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$496–$744 | $496–$744 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $777 | $777 | 7.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $585 | $585 | 3.5× |
| Radiologic exam swallow function contrast study (74230) | $699 | $699 | 4.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $706 | $706 | 4.2× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$414–$621 | $414–$621 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$273–$410 | $273–$410 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$303–$455 | $303–$455 | varies |
| Ribs bilateral 3 views (71110) | $403 | $403 | 4.0× |
| Scapula (73010) range across 3 matching MRF lines |
$638–$957 | $638–$957 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$80–$120 | $80–$120 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$307–$461 | $307–$461 | varies |
| Skull less than 4 views (70250) | $297 | $297 | 3.0× |
| Sternoclavicular joints (71130) | $240 | $240 | 2.9× |
| Thoracic spine 2 views (72070) | $402 | $402 | 4.0× |
| Thoracic spine 3 views (72072) | $513 | $513 | 5.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,228 | $1,228 | 3.2× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$1,432–$2,149 | — | varies |
| Ultrasound Exam Aaa Screen (76706) | $606 | $606 | 6.0× |
| Ultrasound, abdomen limited (76705) | $856 | $856 | 8.5× |
| Upper gi w/o kub (74240) | $510 | $510 | 3.0× |
| Us chest (76604) | $788 | $788 | 7.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $791 | — | 7.9× |
| Us ob limited 1 or more fetuses (76815) | $973 | $973 | 9.7× |
| Us ob transvaginal (76817) | $907 | $907 | 9.0× |
| Us pelvic non ob complete (76856) | $920 | $920 | 9.2× |
| Us retroperitoneal complete (76770) | $929 | $929 | 9.2× |
| Us retroperitoneal limited (76775) | $683 | $683 | 6.8× |
| Us scrotum and contents (76870) | $835 | $835 | 8.3× |
| Us thyroid (76536) | $852 | $852 | 8.5× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$380–$570 | $380–$570 | varies |
| X-Ray Bend Only L-S Spine (72120) | $654 | $654 | 6.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$243–$365 | $243–$365 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $354 | $354 | 3.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $288 | $288 | 3.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $342 | $342 | 4.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $481 | $481 | 4.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $472 | $472 | 4.7× |
| X-Ray Exam L-S Spine Bending (72114) | $861 | $861 | 8.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $387 | $387 | 4.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $760 | $760 | 7.6× |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$404–$606 | $404–$606 | varies |
| X-ray humerus (73060) | $310 | $310 | 3.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $519 | $519 | 6.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $440 | $440 | 4.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $343 | $343 | 3.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $341 | $341 | 4.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $375 | $375 | 4.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $464 | $464 | 4.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $742 | $742 | 2.2× |
| X-Rays Bone Survey Complete (77075) | $816 | $816 | 8.1× |
| Xr c-spine 4 or 5 views (72050) | $540 | $540 | 5.4× |
| Xr facial bones less than 3 views (70140) | $497 | $497 | 5.9× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.